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MS and Driving – DVLA — SCE Neurology MCQ

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ModerateMultiple Sclerosis & CNS InflammationMS and Driving – DVLASCE Neurology

A 42-year-old woman with MS asks whether she can drive. She has mild left leg weakness (MRC 4+/5) but no visual field defect and normal visual acuity. She has had one seizure related to her MS 18 months ago. What DVLA advice applies?

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Correct answer: D — She must notify the DVLA about her MS and the seizure; her seizure must have occurred >12 months ago to be eligible for a Group 1 licence

Patients with MS must notify the DVLA. Driving is assessed based on the impact of disabilities on driving safety (visual fields, visual acuity, motor function, cognitive function). Separately, the seizure in the context of MS must satisfy the standard epilepsy driving regulations (12 months seizure-free for Group 1). Since her seizure was 18 months ago, she meets the 12-month requirement. Her mild weakness may be compatible with driving if it does not affect vehicle control. A: She must notify the DVLA. C: MS is not an automatic bar to driving. D: 5 years is for Group 2 licensing. E: DVLA assessment involves multiple factors.

Reference: DVLA – Assessing Fitness to Drive (2025); NICE NG100 MS